专用生活质量评分表在T2-4交感神经链切断术治疗手足多汗症疗效评价中的应用

目的探讨多汗症专用生活质量评分表在手足多汗症手术疗效评价中的价值。方法回顾性分析125例手足多汗症患者,手术前后采用多汗症专用生活质量评分表进行评分,记录手术满意度、住院日、手术时间及并发症的发生情况。比较手术前后生活质量评分的差异,并对生活质量评分与手术满意度进行相关性分析。结果手术后患者生活质量明显改善。采用生活质量评价与采用手术满意度评价的结果是一致的。手术安全、有效,术后没有严重的并发症发生,术后生活质量的改善情况与代偿性多汗是影响手术满意度的重要因素。结论手术治疗能够大大提高手足多汗症患者的生活质量,多汗症专用生活质量评分表在临床实践中有很大的应用前景。     

长处理论在手术室护理管理中的应用

Objective To develop and manage the advantages of nursing staffs in operating room and arouse ntrses'hope to change and develop themselves, making the application and effort of personal strengths to reach the best level, upgrading the degree of satisfaction in nursing. Methods The management system of life orientation (LIFO) was introduced to nursing management of operating room. The assessment was made in individual superiority and aim of life of nurse in order to position nursing post and set up a cooperative team scientifically and effectively and obtain the optimal utilization in personnel resources. The comparison of the effect was made according to the results of clinical application of the management system in operating room. Results There was significant difference in the comparison of the degree of satisfaction of patients and their family members at nursing before and after the introduction of LIFO management system (P＜0.05 ); the significant differences were also found in 14 items of all 20 items of investigation ( P ＜ 0. 05) . Conclusions Nursing administrators can know their nursing staffs well by LIFO theory, which benefits for establishing an effective team and relieving nurses 'pressure so that the quality of nursing can be more improved.     

长处理论在手术室护理管理中的应用

Objective To develop and manage the advantages of nursing staffs in operating room and arouse ntrses'hope to change and develop themselves, making the application and effort of personal strengths to reach the best level, upgrading the degree of satisfaction in nursing. Methods The management system of life orientation (LIFO) was introduced to nursing management of operating room. The assessment was made in individual superiority and aim of life of nurse in order to position nursing post and set up a cooperative team scientifically and effectively and obtain the optimal utilization in personnel resources. The comparison of the effect was made according to the results of clinical application of the management system in operating room. Results There was significant difference in the comparison of the degree of satisfaction of patients and their family members at nursing before and after the introduction of LIFO management system (P＜0.05 ); the significant differences were also found in 14 items of all 20 items of investigation ( P ＜ 0. 05) . Conclusions Nursing administrators can know their nursing staffs well by LIFO theory, which benefits for establishing an effective team and relieving nurses 'pressure so that the quality of nursing can be more improved.     

循证护理模式对改善围手术期胃癌患者生存质量及情绪状态的效果评价

目的 探讨循证护理模式在改善胃癌患者围手术期的生存质量及情绪状态中的护理效果.方法 选取2007年10月至2010年11月于本院进行治疗的96例胃癌患者为研究对象,将其随机分为对照组和观察组各48例,对照组采用常规护理模式进行护理,观察组采用循证护理模式进行护理.将2组患者治疗依从性、满意度、手术前及手术后1,7 d及1个月的Karnofsky评分、Spitzer生存质量总体评分及SAS、SDS、HAMA和HAMD评分进行统计及比较.结果 观察组的治疗依从性、满意度好于对照组,术后1,7 d及1个月的Karnofsky评分、Spitzer生存质量总体评分均高于对照组,SAS、SDS、HAMA和HAMD评分也均优于对照组.结论 循证护理模式在改善胃癌患者围手术期的生存质量及情绪状态中的效果较好,值得推广应用.

Abstract：

Objective To study the effects of evidence-based nursing in improving life quality and emotional situation of patients with gastric cancer during perioperation. Methods 96 patients with gastric cancer in our hospital from October 2007 to November 2010 were selected as research object,and all the patients were randomly divided into the control group and the observation group with 48 cases in each group,then the compliance therapy,degree of satisfaction, Kamofsky score,spitzer score, SAS score,SDS score,HAMA score and HAMD score of the two groups before and after surgery on the first,seventh day and first month were analyzed and compared. Results The compliance therapy and degree of satisfaction of the observation group were both better than those of the control group,the Karnofsky score and spitzer score of the observation group after surgery on the first, seventh day and first month were higher than those of the control group,SAS score,SDS score,HAMA score and HAMD score of the observation group were better than those of the control group. Conclusions The effects of evidence-based nursing in improving life quality and emotion situation of the patients with gastric cancer during perioperation is better,and it is worthy of popularization and application.     

以家庭为中心的健康教育在肿瘤患者放射治疗中的应用

目的 探讨健康教育在肿瘤患者放射治疗中的实施及效果.方法 选择接受放射治疗的肿瘤患者160例,随机分为观察组(80例)和对照组(80例).观察组遵循以家庭为中心的健康教育模式;对照组按常规方法进行健康教育.结果 观察组患者健康知识技能的掌握情况、放射反应程度、患者家属满意度明显优于对照组(P<0.05);观察组患者治疗过程中出现中、重度放疗反应的人数、医院感染的发生率及放疗的天数明显少于对照组(P<0.05).结论 实施以家庭为中心的健康教育路径能够提高健康教育的效果、减轻放疗反应、提高满意度和患者的生活质量.

Abstract：

Objective To explorer the effect of health education on tumor patients during radiotherapy .Methods A total of160 tumor patients who accepted radiotherapy were randomly divided into observation group (80 cases) and control group (80 cases). The patients in observation group were treated with family-centered health education and routine health education was performed in control group.Results The awareness of health knowledge and skills, the extent of radiation reaction and the satisfaction degree of patients' family member in observation group were better than in control group (P<0.05); and the patients' number of middle and serious radiation reaction, the incidence rate of hospital infection and days of taking radiotherapy in observation group were less than in control group (P<0.05).Conclusions To practice family-centered health education could raise the effect, relieve the radiation reaction, elevate satisfaction degree and life quality of patients.     

宫颈癌手术患者心理干预35例临床对比性分析

Objective To discuss the effect of psychological intervention on the patients of cervical cancer. Methods Take 35 patients of cervical cancer in psychological intervention group at random, at the same time, take the other 36 cases as control group. Evaluate condition of anxiety (SAS) and depression (ADS) before and after operation. Evaluate the time of getting out of bed and satisfaction of sex lives after operation. Results There were no significance in SAS, SDS before operation. The scores of SAS、SDS in psychological intervention group were significant lower than thcee in control group after operation. The time of getting out of bed in psychologi-cal intervention group was significant less than that in control group, and the satisfaction of sex lives after opera-tion was significant higher. Conclusions Psychological intervention on patients before and after cervical cancer plays an important role in physical and mental recovering of patient and rebuilding beautiful life.     

舒适护理干预对冠心病患者介入治疗术后心理和生活质量影响的效果评价

目的 观察舒适护理干预对冠心病患者介入治疗术后心理和生活质量的效果分析.方法 将86例经冠状动脉介入术患者随机分为观察组和对照组各43例,观察组采用舒适护珲干预,对照组采用常规护理,比较观察2组护理前后心理和生活质量的变化.结果 观察组护理后不论是生理功能、独立性、精神信仰、社会关系和生活质量评分还是SAS、SDS评分,均较护理前明显改善,但对照组护理前后比较,无显著差异;并且,观察组护理后生活质量评分和焦虑抑郁症状评分均明显优于同期对照组水平.结论 通过对冠心病介入术的患者进行舒适护理干预,有效地减轻了患者焦虑抑郁的心理状态,提高了服务满意度,改善了患者术后生活质量.

Abstract：

Objective To observe the effect of comfort care on psychological status and life quality of patients undergoing interventional treatment of coronary heart disease. Methods 86 cases patients with coronary heart disease were randomly classified into the observation group and the control group with 43 cases in each group. The observation group was treated with comfort care and the control group was treated with normal nursing. The psychological status and life quality between the two groups were compared. Results Compared with pre-nursing, not only physiological function, independence, spiritual beliefs, social relations and quality of life but also SAS and SDS in the observation group were significantly improved after nursing. However, there were no significant differences in the control group. Moreover, the scores of life quality and anxiety and depression were significantly better than those in the control group. Conclusions Comfort care on patients with coronary heart disease can improve anxiety and depression status, servicing satisfaction and life quality of patients.     

人工流产术临床护理路径的建立及效果评价

目的 建立并实施人工流产术的临床护理路径(clinical nursing pathway,CNP),探讨人工流产术CNP的应用效果.方法 设计人工流产术护理路径,并实施.比较实施前后护理满意度,手术记录表缺项发生数,手术对象避孕及人工流产知识知晓率.结果 人工流产术CNP实施前后手术记录表平均每份缺项数为0.636和0.013,护理满意度为77.0%和92.3%,避孕及人流知识知晓率为47.6%和96.1%,实施前后比较差异显著.结论 实施人工流产术CNP,手术对象满意度提高,手术记录表缺项数下降,育龄妇女避孕及人流知识知晓率上升,确保了人工流产术医疗护理质量及手术的安全性,值得推广.

Abstract：

Objective To build clinical nursing pathway for artificial abortion operation and explore the effect of this method. Methods The nursing pathway was designed and carried out. The satisfaction degree with nursing, status of patients' awareness about contraception and artificial abortion operation was compared before and after the nursing pathway was implemented. Results Before and after the nursing pathway was implemented,the proportion of missing item of operation record was 0.636 and 0.013, the satisfaction degree with nursing was 77.0% and 92.3%, rate of patients' awareness about contraception and artificial abortion operation was 47.6% and 96.1%. Conclusions The clinical nursing pathway for artificial abortion operation may improve the degree of satisfaction- and the status of patients' awareness about contraception and artificial abortion operation, and decline the proportion of missing item of operation note, it ensures high nursing quality and safety surgery, which is worthy of popularizing.     

人性化管理在妇产科手术室护理管理中的应用观察研究

Objective To discuss the value of humanized management application in obstetrics and gynecology operating room nursing management. Methods 200 cases of patients admitted to the department of obstetrics and Gynecology of our hospital in the operating room as the research objective, divided into observation group, reference group by parity method, humanized management application in the observation group, routine operating room nursing management application in the reference group, compare the nursing data of the two groups. Results The rate of nurse-patient dispute in the operation room of the observation group was lower than that of the reference group, and the total incidence of complications was also lower than that of the reference group, which was significant (P＜0.05). Compared with the reference group, all nursing quality scores in the observation group were significantly higher (P＜0.05). The total nursing satisfaction in the observation group was significantly higher than that in the reference group (P＜0.05). Conclusion The application of humanized management in obstetrics and gynecology operating room nursing management, help to improve patient nursing satisfaction, and reduce the incidence of complications, reduce the incidence of nurse-patient disputes, improve the quality of nursing, improve the quality of life of patients, has clinical application value.     

罗伊适应模式在低位直肠癌患者焦虑中的应用研究

目的 探讨罗伊适应模式在低位直肠癌患者焦虑中的临床应用研究.方法 将60例低位直肠癌患者随机分为实验组30例和对照组30例.对照组按直肠癌术后护理常规进行护理,实验组除接受直肠癌常规护理外,按照罗伊适应模式的护理理念方法进行护理干预,采用90项症状自评量表(Symptom Checklist 90,SCL-90)及焦虑自评量表(SAS)用以测定患者的心理状况;应用本院质量检查的满意度调查量表对患者及家属进行评定.结果 实验组焦虑症状明显低于对照组,实验组满意度及住院天数明显优于对照组,两组比较差异有显著性(P＜0.05).结论 严格按罗伊适应模式实施整体护理能减轻低位直肠癌患者焦虑和压抑,提高病人术后自理能力,降低术后并发症的发生率,缩短了住院天数,从而减少病人的住院费用,提高了患者的满意度及生活质量.

Abstract：

Objective To study the application of Roy adaptation model in low rectal cancer patients who were in anxiety. Methods There were 60 rectal cancer patients, who were randomly divided half-and-half into experimental group and control group. The patients in control group were cared according to routine postoperative nursing of cancer, The patients in experimental group were received routine nursing of cancer, and were nursing intervention accordance with Roy adaptation model. The symptom checklist 90 ( SCL -90) and selfrating anxiety scale (SAS) were used to the determine patients'psychological status, and assess the patients and their families according to our hospital quality inspection application of satisfaction survey questionnaire. Results Anxiety symptoms in experimental group were significantly lower than those of the control group, the degree of satisfaction of experimental group was better than that of control group, and inpatient day of experimental group was significantly shorter than that of control group (P ＜ 0. 05 ) . Conclusions Application of Roy adaptation model in holistic nursing can reduce anxiety and depression in colorectal cancer patients , and improve postoperative self - care ability, reduce the incidence of postoperative complications, shorten hospital stay, reduce hospitalization expenses, make better satisfaction and quality of life of patients.     

心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的研究

Objective To evaluate the mental intervention to improve negative emotion and quality of life of elder women with stress urinary incontinence.Methods A total of 88 cases of older women with stress urinary incontinence were divided randomly into test group and control group,two groups were given symptomatic treatment and routine care,the test group was also given specific mental intervention.The mental state and quality of life were evaluated by GDS,SAS,I-QOL Results After a period of one month,there was significant difference between the scores of the two groups (both P ＜ 0.05),the negative emotion and quality of life of test group were improved markedly.Conclusions The targeted mental intervention can improve the patient s ' negative emotions,elevate quality of life and promote patients'quality of life.     

Influence of nursing intervention on quality of Ilife in patients with systemic lupus erythematosus

Objective To observe the influence of nursing intervention on quality of life in patients with systemic lupus erythematosus（SLE） . Methods Eighty three patients and 83 healthy controls were enrolled in this study. The medical outcomes study 36--item short--front health survey （MOS SF--36） Was used for measuring the quality of life. The SF--36 Scores of the two groups were investigated and analyzed before and after the nursing intervention. Results At the baseline, the physical function, role physical bodily pain, general health and role emotional scores in the SLE patients were significantly different from those of health control （P 〈 0. 01）. Items above mentioned in SLE patients got significantly better after one-- years nursing intervention （P〈 0.05）. Conclusions The quality of life in SLE patients is lower than healthy group. Nursing intervention can significantly improve the quality of life in SIrE patients.     

应用健康信念模式对改善护士生活质量的研究

目的 调查分析护士健康水平对于其履行社会角色及个体的生活质量的影响,探讨应用健康信念模式教育对改善护士生命质量的效果.方法 将200名临床护士随机分为干预组和对照组各100名,应用健康信念模式对干预组护士进行一系列针对性的健康教育,对照组不做任何干预.应用自制调查表及世界卫生组织生活质量测定量表(WHOQOL-100)对两组护士的慢性病症、社会角色进行评估,比较教育前后两组护士生活质量的情况.结果 干预前两组护士评分差异无统计学意义,干预后干预组护士健康水平,其履行社会角色和个体的生活质量与对照组护士比较评分差异有统计学意义.结论 护士健康水平对其履行社会角色和个体生活质量有影响,应用健康信念模式可消除或减轻影响健康的危险因素,建立健康的生活、工作模式,从而改善护士的生活质量.

Abstract：

Objective To survey and analyze the influence of nurses' health level on performing the social role and their life quality, explore the effect of health concept on nurses' life quality.Methods A total of 200 clinic nurses were randomly divided into two groups: control group and intervention group. 100 cases were in each group. The nurses in intervention group were conducted with a series of targeted health education. Self-designed scale and WHOQOL-100 were used to assess nurses' chronic disease, social role etc. The situation of life quality was compared between two groups before and after education.Results There were statistical differences between two groups in performing social role and life quality after intervention.Conclusions The nurse's health level has an effect on performing the social role and their life quality. The application of health concept can eliminate or reduce the affection of the risk factor of health, set up health life and working manner to improve their life quality.     

护士自我和谐程度与职业紧张状况和生活质量的关系研究

Objective To explore the relationship between self consistency and congruence degree of nurses and their occupational stress and qualities of life. Methods By randomly cluster sampling, 84 nurses (all the nurses were female) in two three class genera] hospitals of our city were investigated with self consistency and congruence scale (SCCS), occupational stress inventory revised edition (OSI -R) and quality of life inventory (GQLI) . The nurses were divided into high degree self consistency and congruence group (total score ≤74) and lower degree group (total score > 102) by the score of their SCCS. Results The average score of SCCS, self and experiential inconsistency and incongruence, score of self flexibility and serf -stereotypes of score in 84 nurses were 98.36 ± 15.24, 42. 31 ± 8. 01, 40. 35 ± 8.23 and 19. 675 ± 4. 12 respectively. 29 nurses belonged to high degree self consistency and congruence, the factors score of occupation task (OSI -R) and tension reaction di-mensionality of high degree self consistency and congruence nurses were lower;while answer to resource dimen-sionality and factor score besides entertainment was higher than the latter, the differences between them were obvi-ously (P <0. 01) . Besides matter life dimensionality, the others score of dimensionality of high degree self con-sistency and congruence nurses were higher obviously than the ones of lower degree self consistency and congruence nurses, the difference were also obviously. Correlation analysis revealed that the score of SCCS correlated positively with the score of OSI -R, occupation task and tension reaction dimensionality;while it correlated negatively with answer to resource of OSI -R, total score of GQLI, and body health, psychology health and society function di-mensionality, and had no correlation with matter life dimensionality. Conclusions High degree self consistency and congruence nurses have lower occupational tension feel and higher quality of llfe, and have more ability to treat stress.     

食管癌患者术后疼痛与生活质量相关性的调查分析

目的 调查食管癌患者术后的疼痛程度,了解食管癌术后疼痛对患者生活质量的影响,为治疗护理提供依据.方法 对2008年10月至2010年3月入住的276例食管癌患者采用简明McGill疼痛问卷(SF-MPQ)和简明疼痛调查表(BPI)测量患者术后疼痛性质强度以及对于生活质量的影响.结果 非体力劳动者术后的疼痛感强于体力劳动者,患者的文化程度与PRI情绪分成正相关,2项差异显著;术后的疼痛与年龄及性别无显著差异.疼痛越严重,对生活质量的影响也越大,疼痛对日常生活、情绪、活动能力、睡眠和生活乐趣的影响之间关系差异显著.结论 食管癌患者术后仍然存在较严重的疼痛,并且对生活质量以及术后体疗产生影响,需要加强对疼痛管理的重视,采取更精确的评估,以指导控制疼痛,提高生活质量.

Abstract：

Objective To investigate the degree of pain for patients with esophageal cancer undergoing surgery, evaluate the influence of pain on life quality, and provide evidence for therapy and nursing. Methods The SF-MPQ and BPI were used to measure the quality and intensity of the pain, and the influence on the life quality. Results Non-manual workers feeled more pain than the manual workers; the degree of the patients' education background positively correlated with PRI emotional score;postoperative pain did not correlated with ages and gender. The more pain, the worse influence on life quality. The pain affected the daily life, emotions, locomotor ability, sleep and enjoyment of life significantly. Conclusions There still existed serious pain in patients with esophageal cancer underwent surgery,and the pain affects the quality of life and postoperative treatment. Nurses should pay close attention to pain management, adopt more accurate evaluation so as to guide the pain control and improve the life quality.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.